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Am J Psychiatry 1990; 147:1498-1503
Copyright © 1990 by American Psychiatric Association
Relation of psychopathology in general medical inpatients to use and cost of services
JL Levenson, RM Hamer and LF Rossiter
Department of Psychiatry, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298.
The authors investigated the relation between psychopathology in medically
ill inpatients and use and cost of medical care services. Of 455 medical
inpatients, the Medical Inpatient Screening Test identified 27.9% as very
depressed, 27.5% as very anxious, 20.2% as having cognitive dysfunction,
and 8.6% as having high pain levels. Overall, the test identified 51% of
the patients as having high levels of psychopathology or pain. These
subjects had a 40% longer median length of hospital stay and 35% greater
mean hospital costs than those with low levels of psychopathology or pain.
Patients with greater psychopathology also had higher hospital charges,
more procedures during hospitalization, and more discharge diagnoses but
did not differ from the other patients in sex, race, age, diagnosis-related
group (DRG) major diagnostic category, or DRG weight.
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